| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.74 | $3.74 | $3.74 | |
Aetna
| Professional | $3.74 | $3.74 | $9.68 | |
Regence BlueShield
| Facility | $12.55 | $16.66 | $17.14 | |
United
| Professional | $6.80 | $9.92 | $14.28 |
Parenteral Nutrition Supply Kit; Premix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.74 | $3.74 | $3.74 | |
Aetna
| Professional | $3.74 | $3.74 | $9.68 | |
Regence BlueShield
| Facility | $12.55 | $16.66 | $17.14 | |
United
| Professional | $6.80 | $9.92 | $14.28 |